San Francisco Chronicle

Apple reportedly eyeing EKG heart monitor for Watch

- By Alex Webb Alex Webb is a Bloomberg writer. Email: awebb25@bloomberg.net

Apple is developing an advanced heart-monitoring feature for future versions of its smartwatch, part of a broader push by the company to turn what was once a luxury fashion accessory into a serious medical device, according to people familiar with the plan.

A version being tested requires users to squeeze the frame of the Apple Watch with two fingers from the hand that’s not wearing the device, one of the people said. It then passes an impercepti­ble current across the person’s chest to track electrical signals in the heart and detect any abnormalit­ies like irregular heart rates. Such conditions can increase the risk of strokes and heart failure and develop in about one-quarter of people over 40, according to the U.S. Centers for Disease Control and Prevention.

These medical tests, known as electrocar­diograms or EKGs and ECGs, are common in doctors’ offices, hospitals and ambulances. But they only monitor the heart’s activity for short periods, limiting their ability to spot potential abnormalit­ies. There are wearable versions, too, such as the Holter monitor, but these usually track the heart continuous­ly for a few days at most.

Apple’s current Watch has a more basic heart-rate monitor, but the company is increasing­ly trying to use advanced sensors to predict future affliction­s, rather than simply collect historical data about the body. An EKG would make it easier to establish the health of a user’s heart, and potentiall­y spot some cardiac problems early.

The developmen­t process is ongoing and Apple may still decide not to include the technology in future products, the people said. They asked not to be identified talking about private plans. Apple spokeswoma­n Amy Bessette declined to comment.

“I can see a role for wearable ECGs as a mechanism to diagnose arrhythmia as an adjunct to what is currently available,” said Ethan Weiss, a cardiologi­st at UCSF. However, he said he’d only recommend it for patients who are already displaying symptoms like heart palpitatio­ns and fainting. “There’s no reason to follow ECG in normal, healthy people.”

Apple announced a research initiative into irregular heart rhythms in November with Stanford Medicine, where Apple’s head of special health projects, Michael O’Reilly, serves as a professor of anesthesio­logy. Participan­ts download an app that uses the Watch’s existing heart rate monitor to identify potential irregulari­ties.

The current system uses LEDs and light sensors on the underside of the Watch to track changes in blood flow from the pumping heart. If any abnormalit­ies are spotted, the user is offered a free video consultati­on with a doctor from telehealth provider American Well Corp. Data from the research may help Apple develop artificial intelligen­ce tools that can spot abnormalit­ies more easily and support the EKG project.

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